#activityModal.modal.fade(tabindex='-1', role='dialog', aria-labelledby='activityModalLabel', aria-hidden='true')
    .modal-dialog
        .modal-content.activity_modal
            .modal-header
                .fix-thumb
                    img(src='images/box.png?thumb=500_600', style='background-color: rgba(255,255,255,0);')
                    .activity_modal_bg(style='background-image: url(./images/activity_modal_bg_web.png)')
                        button.close(type='button', data-dismiss='modal')
                            span(aria-hidden='true')  
                            span.sr-only  
                        .form-horizontal
                            .form-group
                                span.col-xs-12.control-label.left 您的名字：
                                .col-xs-12
                                    input.form-control(name='username', lhq-validate="[{required:true, msg:''}]")
                            .form-group
                                span.col-xs-12.control-label.left 电话号码：
                                .col-xs-12
                                    input.form-control(name='phone', lhq-validate="[{required:true, msg:''},{mobile:true, msg:''}]")
                            .form-group
                                .col-xs-12.center
                                    button.btn.submitBtn 提交申请
